Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nancy Wallace, FNP

Individual provider Family Nurse Practitioner · NPI 1245996628

Nancy Wallace, FNP is a Nurse Practitioner in Cooperstown, New York. Qualified in 2021, 5 years ago. Practices with Mary Imogene Bassett Hospital, a 779-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1 Atwell Rd
Cooperstown, NY 13326
Phone: (607) 547-3240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 348816 (NY)

Record details

NPI number1245996628
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 10, 2021
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025
Mailing address1 Atwell Rd, Cooperstown, NY 13326

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mary Imogene Bassett Hospital — 779 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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